Norma Vidaurre

Each employee shall submit to fingerprinting.

“Caregiver #3s record does not contain documentation of fingerprint results. The provider stated that the caregiver has been employed for approximately one year.”

Rule 22.1-289.035-B-2.

The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“1. Child #2s record does not contain a physical exam. The child has been enrolled for approximately 5 months. 2. Child #4s record does not contain a physical exam. The child has been enrolled for approximately 6 months.”

Rule 8VAC20-800-100-A.

Caregivers records shall contain all required information.

“Caregiver #3s record does not contain documentation of date of hire or documentation of two references.”

Rule 8VAC20-800-120-B.

The provider shall orient the substitute provider and assistant by the end of their first week of assuming job responsibilities.

“The provider has not orientated caregiver #3. The provider stated that the caregiver has been employed for approximately one year.”

Rule 8VAC20-800-200-A.

The bathroom shall contain a working toilet and sink, toilet tissue, liquid soap, and paper towels.

“The childrens bathroom did not contain soap.”

Rule 8VAC20-800-340-C.

Childrens records shall contain all required information.

“Child #1, child #3 and child #4s records do not contain documentation that the provider has verified the childrens identities.”

Rule 8VAC20-800-60-A.

Topical skin products shall be labeled with the childs name.

“A diaper cream was observed not labeled to identify who it belonged it.”

Rule 8VAC20-800-750-A.

Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized.

“Child #2s record does not contain documentation of immunizations. The child has been enrolled for approximately 5 months.”

Rule 8VAC20-800-90-A.

Temperatures shall be maintained at or below 40?F in refrigerator.

“The refrigerator did not contain a working thermometer to know the refrigerator temperature.”

Rule 8VAC20-800-940-A.

Bottles shall be refrigerated and labeled with the child’s full name and the date.

“Four out of four bottles observed were not labeled with children’s names or dates.”

Rule 8VAC20-800-960-E.

All caregivers shall have current certification in cardiopulmonary resuscitation (CPR).

“Caregiver #2’s CPR certification expired over two months ago.”

Rule 8VAC20-790-250-D-1.

All caregivers shall have current certification in first aid.

“Caregiver #2’s first aid certification expired over two months ago.”

Rule 8VAC20-790-250-D-2.

Caregivers who work directly with children shall annually attend the department’s health and safety update course.

“Caregivers #1, #2, and #3 did not complete the department’s health and safety update course in 2025. Caregivers #1, #2 and #3 work directly with children.”

Rule 8VAC20-790-250-F.

The provider shall obtain for each caregiver a current Report of Tuberculosis (TB) Screening form every two years from the date of the first screening.

“Caregiver #2’s subsequent TB screening is overdue by one year.”

Rule 8VAC20-800-180-A.

Documentation shall be maintained of emergency evacuation and shelter-in-place drills.

“There was no documentation of emergency evacuation drills for November 2025, December 2025 and January 2026. There was no documentation of a second shelter-in-place drill for 2025.”

Rule 8VAC20-800-830-C.

The provider shall obtain documentation of a physical examination by or under the direction of a physician prior to a child’s attendance or within 30 days after the first day of attendance.

“The provider did not obtain documentation of a physical examination for Child #1. Child #1 has been enrolled for three months.”

Rule 8VAC20-800-100-A.

Repeat violation

Rule 8VAC20-800-60-B.

Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized.

“The family day home did not obtain documentation of immunizations for Child #1. Child #1 has been attending the family day home for three months.”

Rule 8VAC20-800-90-A.

All applicants for employment, employees, applicants to serve as volunteers, and volunteers shall submit to fingerprinting prior to employment or beginning to serve as a volunteer.

“Caregiver #1 did not submit to fingerprinting. Caregiver #1 was working at the family day home at the time of inspection.”

Rule 22.1-289.035-B-2.

The provider shall maintain a record for each caregiver.

“Caregiver #1 was working at the family day home during the inspection. The provider did not have a record for Caregiver #1.”

Rule 8VAC20-800-120-A.

The provider shall obtain from each caregiver at the time of hire a current Report of Tuberculosis (TB) Screening form.

“The provider did not obtain a Report of TB Screening form for Caregiver #1. Caregiver #1 was working at the time of inspection.”

Rule 8VAC20-800-170-A.

Repeat violation

“Potentially poisonous substances shall be inaccessible to children. A package of stainless steel wipes, two containers of disinfectant wipes, one disinfectant spray, one air freshener and one paint sample (label states to keep out of reach of children) were in an unlocked cabinet, accessible to children.”

Rule 8VAC20-800-280.

Repeat violation

“All flammable materials shall be stored in an area inaccessible to children. A lighter was stored in an unlocked cabinet, accessible to children.”

Rule 8VAC20-800-320-H.

Repeat violation

Rule 8VAC20-800-60-B.

Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water after diapering.

“Caregiver #2 did not ensure that Child #2’s hands were washed after diapering.”

Rule 8VAC20-800-680-B.

The diapering surface shall be nonabsorbent.

“The diapering surface was covered with a fabric changing pad cover.”

Rule 8VAC20-800-690-D.

Documentation shall be maintained of emergency evacuation drills.

“There was no documentation of emergency evacuation drills for November 2024, December 2024, January 2025 and February 2025.”

Rule 8VAC20-800-830-C.

The family day home must obtain a completed national criminal background check for household members every five years.

“The criminal background check for Household Member #1 expired 6 months ago.”

Rule 22.1-289.036-B-2.

The provider shall obtain documentation of a physical examination by or under the direction of a physician prior to a child’s attendance or within 30 days after the first day of attendance.

“The provider did not obtain documentation of a physical examination for Child #1, #3 and #4. Child #1 has been enrolled for 7 weeks. Child #3 has been enrolled for 4 months. Child #4 has been enrolled for 6 months.”

Rule 8VAC20-800-100-A.

The provider shall obtain for each adult household member a current Report of Tuberculosis (TB) Screening form every two years from the date of the first screening.

“Adult household member #1’s most recent TB screening expired 7 months ago.”

Rule 8VAC20-800-180-A.

Areas and furnishings of the family day home, inside, shall be maintained in a safe condition.

“There were 3 areas of chipped paint on the wall in the nap room and 5 cribs with chipping paint.”

Rule 8VAC20-800-240-A.

Potentially poisonous substances shall be stored in areas inaccessible to children.

“A topical ointment was located in an unlocked drawer, accessible to children. A paint sample, disinfectant spray and disinfecting wipes were in an unlocked cabinet, accessible to children. Adhesive remover was in an unlocked closet, accessible to children.”

Rule 8VAC20-800-280.

Sharp objects shall be inaccessible to children unless being used by the caregiver or with children under close supervision.

“3 straight blades were in an unlocked drawer in the main daycare room, accessible to children.”

Rule 8VAC20-800-290.

All flammable materials such as lighters shall be stored in an area inaccessible to children.

“A lighter was stored in an unlocked cabinet, accessible to children.”

Rule 8VAC20-800-320-H.

The provider shall ensure that a caregiver does not exceed 16 points.

“There were 11 children present with 2 caregivers totaling in 34 points, exceeding the 32 point maximum for 2 caregivers.”

Rule 8VAC20-800-570-A.

A child’s record shall contain the address of two designated persons to contact in care of an emergency, policy number of the child’s medical insurance, and written authorization for emergency medical care.

“Child #1’s, who is currently enrolled, record did not contain an address for their second emergency contact. Child #2’s, who is currently enrolled, record did not contain a policy number for the child’s medical insurance or written authorization for emergency medical care.”

Rule 8VAC20-800-60-B.

Based on record review, the family day home did not ensure that 2 out of 2 employees submit to fingerprinting and obtain results every five years.

“Evidence: 1. Caregiver #1’s most recent fingerprinting results were dated 11/28/2018. 2. Caregiver #2’s most recent fingerprinting results were dated 11/21/2018.”

Rule 22.1-289.035-A.

Based on observation, the diapering surface was not nonabsorbent.

“Evidence: The diaper changing pad had a cloth cover.”

Rule 8VAC20-800-690-D.

Based on observation, the provider did not have a thermometer available to monitor refrigerator and freezer compartment temperatures.

“Evidence: There was no thermometer in the refrigerator used by the family day home to store children’s food items.”

Rule 8VAC20-800-940-B.

Repeat violation

“Based on observation, the provider did not ensure that a caregiver did not exceed 16 points. Evidence: 1. From approximately 2:30 p.m. to approximately 2:41 p.m., there were 10 children present, between the ages of 1 year and 3 years, totaling 25 points. There was 1 caregiver present during this time. 2. The children were observed napping during this time.”

Rule 8VAC20-800-570-A.

Based on caregiver record review, the family day home did not obtain results of a central registry search within 30 days of employment for all caregivers.

“Evidence: At the time of inspection, Caregiver #2 (start date: 05/08/2023) did not have results of a central registry search on file.”

Rule 8VAC20-770-60-C-2.

Based on record review, a substitute provider’s record did not contain all information.

“Evidence: Caregiver #2?s record did not contain documentation that two or more references were checked before employment. There was only documentation of one reference checked.”

Rule 8VAC20-800-120-B.

Based on record review and provider interview, the provider did not maintain written documentation of each caregiver’s applicable education and programmatic experience.

“Evidence: 1. The provider stated that Caregiver #2 is the designated substitute provider for the family day home. 2. The provider did not maintain documentation of Caregiver #2?s applicable education or programmatic experience.”

Rule 8VAC20-800-230-A.

Based on observation, potentially poisonous substances, materials and supplies were not stored away from food in areas inaccessible to children.

“Evidence: 1. One wasp and hornet killer spray, one air freshener spray and one multi-purpose cleaner were located on a shelf in the main daycare area, accessible to children. 2. A wasp and hornet killer spray was located next to a bowl that contained bananas and apples. 3. A window cleaner was located in an unlocked cabinet, accessible to children, under the sink in the bathroom used by the children. 4. A bottle of adhesive remover was located on the second shelf of an unlocked closet, accessible to children.”

Rule 8VAC20-800-280.

Based on observation, not all small electrical appliances were unplugged while not being used by the caregiver or with children under close supervision.

“Evidence: A toaster oven in the kitchen on the main level was plugged in while not in use.”

Rule 8VAC20-800-320-A.

Based on observation, the family day home had an inoperable smoke detector.

“Evidence: 1. The smoke detector in the nap room was missing from the mounting bracket on the ceiling. 2. The smoke detector was located on a shelf in the nap room, without a battery, making it inoperable.”

Rule 8VAC20-800-320-I.

Based on observation, the bathroom did not contain liquid soap and paper towels.

“Evidence: The bathroom provided for the children did not contain liquid soap and paper towels.”

Rule 8VAC20-800-340-C.

Based on provider interview, the provider did not maintain an up-to-date record at the family day home for each enrolled child.

“Evidence: 1. Child #1 was present at the family day home during the inspection. 2. The provider stated that Child #1 was attending the family day home temporarily. Child #1 attended the family day home for a half day on the day prior to the inspection, and the current day, but would no longer be attending the family day home after June 21, 2023. 3. The provider did not have a record for Child #1 during the inspection.”

Rule 8VAC20-800-60-A.

Based on observation, when topical skin products were used, the product was not labeled with the child’s name.

“Evidence: 1. A healing ointment, located in the small top drawer of the changing table, was not labeled. Caregiver #1 stated that the healing ointment belonged to Child #2. 2. A healing ointment, located in the small top drawer of the changing table, was not labeled. Caregiver #1 stated that the healing ointment belonged to Child #3. 3. An anti-fungal cream, located in the second large drawer of the changing table, was not labeled. Caregiver #1 stated that the anti-fungal cream belonged to Child #4.”

Rule 8VAC20-800-750-A.

Based on observation, topical skin products were accessible to children.

“Evidence: 1. There was one diaper cream, two healing ointments, one moisturizing cream, and one anti-inflammatory cream in the unlocked small top drawer of the changing table, accessible to children. 2. There was one athlete’s foot cream and one healing ointment in the unlocked large second drawer of the changing table, accessible to children.”

Rule 8VAC20-800-750-B.

Based on observation, bottles were not labeled with the child’s full name and the date when more than one infant was in care.

“Evidence: 1. At the time of inspection, there were two bottles in the refrigerator that were not labeled with the child’s full name and the date. 2. Caregiver #1 stated that one bottle belonged to Child #4 and the second bottle belonged to Child #5.”

Rule 8VAC20-800-960-E.

Based on vendor interview, the vendor did not maintain a current written list of all children’s allergies.

“Evidence: 1. Child #1?s record indicates a lactose allergy. 2. The vendor stated that they did not have a written list of all children’s allergies.”

Rule 8VAC20-790-170-G.

Based on record review, the vendor did not maintain a written hard copy of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: 1. Child #4, #5, #6 and #7 were present at the family day home when the inspection began at approximately 10:00 a.m. 2. Child #4, #5, #6, and #7 were not signed in when attendance was checked at approximately 10:15 a.m.”

Rule 8VAC20-790-180-B.

Based on record review, the vendor did not obtain all information for children’s records.

“Evidence: The record for Child #1 indicates a lactose allergy. The record for Child #1 did not include a written allergy care plan.”

Rule 8VAC20-790-190-B-12.

Based on record review and vendor interview, lockdown procedures were not practiced at least annually.

“Evidence: The vendor stated that they had not practiced lockdown procedures.”

Rule 8VAC20-790-430-A-3.

Based on record review, the provider did not obtain documentation of physical examination for each child prior to the child’s attendance or within 30 days after the first day of attendance.

“Evidence: 1. Child #2?s (start date: 04/04/2022) record did not contain documentation of physical examination. 2. Child #3?s (start date: 10/04/2021) record did not contain documentation of physical examination. 3. Child #4?s (start date: 10/04/2021) record did not contain documentation of physical examination.”

Rule 8VAC20-800-100-A.

Based on record review and caregiver interview, not all caregivers obtained a minimum of sixteen clock hours of training annually.

“Evidence: 1. Caregiver #3 stated that Caregiver #2 (start date: 01/07/2007) did not complete any training in 2022. 2. Caregiver #3 had 8.5 hours of training in 2022.”

Rule 8VAC20-800-210-A.

Based on observation, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home.

“Evidence: The provider’s maximum licensed capacity is 12. At the time of inspection, there were 15 children present.”

Rule 8VAC20-800-40-A.

Based on observation, the provider did not ensure that a caregiver did not exceed 16 points.

Rule 8VAC20-800-570-A.

Based on record review, parents were not provided all required written information before the child’s first day of attendance.

“Evidence: 1. The provider did not indicate whether or not there is liability insurance on the paperwork provided to the parents of Child #1 (start date: 01/03/2023), Child #2 (start date: 04/04/2022) and Child #3 (start date: 10/04/2021). 2. Provisions of the family day home’s emergency preparedness and response plan was not provided to the parents of Child #1, Child #2, Child #3 and Child #4 (start date: 10/04/2021). The form was located in the files, but was not completed.”

Rule 8VAC20-800-70-A.

Based on record review and caregiver interview, the family day home does not have a written emergency preparedness and response plan.

“Evidence: Caregiver #3 stated that there was no emergency preparedness plan.”

Rule 8VAC20-800-800-A.

Based on record review, the provider did not obtain documentation of additional immunizations once every six months for children under the age of two years.

“Evidence: 1. Child #3?s (age: 21 months) most recent immunization record was dated 09/29/2021. 2. Child #4?s (age: 20 months) most recent immunization record was dated 08/30/2021.”

Rule 8VAC20-800-90-C.

Based on record review and provider interview, the family day home did not ensure that all employees submit to fingerprinting and obtain results prior to employment.

“Evidence: 1. Caregiver #2 did not have results of fingerprinting on file before working at the family day home. 2. The provider stated that Caregiver #2 is not a regular employee of the family day home and was just called to work that day due to the provider being sick.”

Rule 22.1-289.035-B-2.

Based on record review and provider interview, an employee of the family day home was employed before the home had the person’s completed sworn statement.

“Evidence: 1. Caregiver #2 did not have a completed sworn statement on file. 2. The provider stated that Caregiver #2 is not a regular employee of the family day home and was just called to work that day due to the provider being sick.”

Rule 8VAC20-770-60-B.

Based on record review, the provider did not obtain documentation of physical examination for each child prior to the child’s attendance or within 30 days after the first day of attendance.

“Evidence: 1. Child #2?s (start date: 02/10/2020) record did not contain documentation of physical examination. 2. Child #6?s (start date: 04/04/2022) record did not contain documentation of physical examination.”

Rule 8VAC20-800-100-A.

Based on record review, the provider did not maintain a record for each caregiver.

“Evidence: 1. The provider did not have a record for Caregiver #2. 2. The provider stated that Caregiver #2 is not a regular employee of the family day home and was just called to work that day due to an emergency.”

Rule 8VAC20-800-120-A.

Based on observation and caregiver statement, caregivers were not able to speak in English as necessary to carry out job responsibilities.

“Evidence: 1. Caregiver #1 and Caregiver #2 were unable to communicate in English during the inspection. 2. When asked a question, Caregiver #1 stated that they do not speak English.”

Rule 8VAC20-800-130.

Based on record review, the provider did not obtain from each caregiver at the time of hire a current Report of Tuberculosis Screening form.

“Evidence: 1. Caregiver #2 did not have a current Report of Tuberculosis Screening form. 2. The provider stated that Caregiver #2 is not a regular employee of the family day home and was just called to work that day due to the provider being sick.”

Rule 8VAC20-800-170-A.

Based on observation, potentially poisonous substances, materials and supplies were not stored in areas inaccessible to children.

Rule 8VAC20-800-280.

Based on observation, all flammable and combustible materials were not stored in an area inaccessible to children.

“Evidence: There were two lighters in an unlocked drawer, accessible to children.”

Rule 8VAC20-800-320-H.

Based on observation, the bathroom did not contain toilet tissue, liquid soap and paper towels.

“Evidence: The bathroom provided for the children did not contain liquid soap and paper towels.”

Rule 8VAC20-800-340-C.

Based on observation, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home.

“Evidence: 1. The provider’s maximum licensed capacity is 12. At the time of inspection, there were 13 children present. 2. Child #7 is the child of Caregiver #2. Child #7 was not enrolled in the family day home, but was present and receiving care during the inspection.”

Rule 8VAC20-800-40-A.

Based on observation, cots and rest mats used for sleeping or napping by children other than infants did not have linens consisting of a top cover and a bottom.

“Evidence: 1. Child #3 (age: 3 years) was using a cot with a top cover and no bottom cover. 2. Child #4 (age: 2 years) was using a cot with a top cover and no bottom cover. 3. Child #8 (age: 3 years) was using a cot with a top cover and no bottom cover.”

Rule 8VAC20-800-530-A.

Based on observation, the provider did not ensure that a caregiver did not exceed 16 points.

“Evidence: During the time of inspection, there were 13 children present, between the ages of 5 months and 3 years, totaling 38 points. There were 2 caregivers present during this time.”

Rule 8VAC20-800-570-A.

Based on record review, the provider did not obtain all required information for children’s records.

“Evidence: The record for Child #1 did not contain a name, address and telephone number for a second designated person to contact in case of an emergency.”

Rule 8VAC20-800-60-B.

Based on record review, parents were not provided all required written information before the child’s first day of attendance.

Rule 8VAC20-800-70-A.

Based on observation, topical skin products were accessible to children.

“Evidence: There was one diaper cream, one eczema cream, one cortisone ointment and one healing cream in bins on the changing table, accessible to children.”

Rule 8VAC20-800-750-B.

Based on record review, the provider did not document in each child’s record, the method of verification of the child’s age and identity.

“Evidence: 1. The record for Child #1 (start date: 10/17/2022) did not contain documentation of the method of verification of the child’s age and identity. 2. The record for Child #2 (start date: 02/10/2020) did not contain documentation of the method of verification of the child’s age and identity. 3. The record for Child #6 (start date: 04/04/2022) did not contain documentation of the method of verification of the child’s age and identity.”

Rule 8VAC20-800-80-C.

Based on record review, the provider did not obtain documentation that all children were adequately immunized, before a child may attend the family day home.

“Evidence: 1. Child #2?s (start date: 02/10/2020) record did not contain documentation of immunization.”

Rule 8VAC20-800-90-A.

Based on record review and provider interview, the family day home did not ensure that all employees submit to fingerprinting and obtain results prior to employment.

“Evidence: 1. Caregiver #2 did not have results of fingerprinting on file before working at the family day home. 2. The provider stated that Caregiver #2 is not a regular employee of the family day home and was just called to work that day due to an emergency.”

Rule 22.1-289.035-B-2.

Based on record review and provider interview, an employee of the family day home was employed before the home had the person’s completed sworn statement.

“Evidence: 1. Caregiver #2 did not have a completed sworn statement on file. 2. The provider stated that Caregiver #2 is not a regular employee of the family day home and was just called to work that day due to an emergency.”

Rule 8VAC20-770-60-B.

Based on record review, the provider did not obtain documentation of physical examination for each child prior to the child’s attendance or within 30 days after the first day of attendance.

“Evidence: Child #2?s (start date: 10/05/2020) record did not contain documentation of physical examination.”

Rule 8VAC20-800-100-A.

Based on record review, the provider did not maintain a record for each caregiver.

“Evidence: 1. The provider did not have a record for Caregiver #2. 2. The provider stated that Caregiver #2 is not a regular employee of the family day home and was just called to work that day due to an emergency.”

Rule 8VAC20-800-120-A.

Based on observation and caregiver statement, caregivers were not able to speak in English as necessary to carry out job responsibilities.

“Evidence: 1. Caregiver #1 and Caregiver #2 were unable to communicate in English during the monitoring inspection. 2. When asked a question, Caregiver #1 stated that they do not speak English and called the provider’s daughter on the phone to assist. 3. The provider’s granddaughter arrived shortly after and translated the information.”

Rule 8VAC20-800-130.

Based on record review, the provider did not obtain from each caregiver at the time of hire a current Report of Tuberculosis Screening form.

“Evidence: 1. Caregiver #2 did not have a current Report of Tuberculosis Screening form. 2. The provider stated that Caregiver #2 is not a regular employee of the family day home and was just called to work that day due to an emergency.”

Rule 8VAC20-800-170-A.

Based on observation, areas and furnishings of the family day home, inside, were not maintained in a clean, safe and operable condition.

“Evidence: There were multiple areas of chipped paint on the half wall that divides the main daycare room from the eating area.”

Rule 8VAC20-800-240-A.

Based on observation, potentially poisonous substances, materials and supplies were not stored in areas inaccessible to children.

“Evidence: 1. One spray cleaner with bleach, one container of powder bathroom cleaner, one container of disinfecting wipes, one bottle of dish soap (warning label says to keep out of reach of children), and two claw hammers were in an unlocked closet, accessible to children. 2. One bottle of alcohol antiseptic and one bottle of hand sanitizer were on the half wall, accessible to children.”

Rule 8VAC20-800-280.

Based on observation, child-resistant protective covers were not installed on all unused electrical outlets accessible to children under five years of age.

“Evidence: 1. There was one outlet uncovered by the blue couch in the main daycare area. 2. There was one outlet uncovered by the high chairs. 3. There was one outlet uncovered in the nap room.”

Rule 8VAC20-800-320-B.

Based on observation, all flammable and combustible materials were not stored in an area inaccessible to children.

“Evidence: There was a multi-purpose lighter in an unlocked drawer, accessible to children.”

Rule 8VAC20-800-320-H.

Based on observation, the bathroom did not contain toilet tissue, liquid soap and paper towels.

“Evidence: The bathroom provided for the children did not contain toilet tissue, liquid soap and paper towels.”

Rule 8VAC20-800-340-C.

Based on observation, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home.

“Evidence: 1. The provider’s maximum licensed capacity is 12. At the time of inspection, there were 13 children present. 2. Caregiver #2 stated that Child #8 was her child. Child #8 was not enrolled in the family day home, but was present during the inspection.”

Rule 8VAC20-800-40-A.

Based on record review, the family day home did not keep a written record of children in attendance each day.

“Evidence: The last day that the family day home recorded attendance was 07/28/2022.”

Rule 8VAC20-800-50-A.

Based on observation, cribs were provided for children over 12 months of age who were developmentally ready to sleep on a cot, rest mat, or bed.

“Evidence: 1. Child #9 (age: 2 years) was observed in a crib during nap time. 2. Child #10 (age: 14 months) was observed in a crib during nap time. 3. Child #13 (age: 15 months) was observed in a crib during nap time.”

Rule 8VAC20-800-520-A.

Based on observation, cots and rest mats used for sleeping or napping by children other than infants did not have linens consisting of a top cover and a bottom.

Rule 8VAC20-800-530-A.

Based on observation, the provider did not ensure that a caregiver did not exceed 16 points.

“Evidence: During the time of inspection, there were 13 children present, between the ages of 8 months and 3 years, totaling 42 points. There were 2 caregivers present during this time.”

Rule 8VAC20-800-570-A.

Based on record review, the family day home did not maintain an up-to-date record at the family day home for each enrolled child.

“Evidence: 1. There was no record on site for Child #6 (start date: 08/08/2022). 2. There was no record on site for Child #7 (start date: 08/08/2022).”

Rule 8VAC20-800-60-A.

Based on observation, caregivers did not wash their hands with liquid soap and warm running water after diapering a child.

“Evidence: Caregiver #2 did not wash their hands after diapering Child #9.”

Rule 8VAC20-800-680-A.

Based on observation, caregivers did not ensure that children’s hands were washed with liquid soap and warm running water after diapering.

“Evidence: Caregiver #2 did not ensure that Child #9?s hands were washed after diapering.”

Rule 8VAC20-800-680-B.

Based on observation, the diapering surface was not nonabsorbent and washable and was not cleaned and sanitized after each use.

“Evidence: 1. The diaper changing pad had a cloth cover. 2. Caregiver #2 did not clean and sanitize the diaper changing pad between diapering Child #9 and Child #8.”

Rule 8VAC20-800-690-D.

Based on observation, topical skin products were accessible to children.

“Evidence: There were three diaper creams and one healing cream in bins on the changing table, accessible to children.”

Rule 8VAC20-800-750-B.

Based on record review, the provider did not obtain documentation that all children were adequately immunized, before a child may attend the family day home.

“Evidence: 1. Child #2?s (start date: 10/05/2020) record did not contain documentation of immunization. 2. Child #5?s (start date: 08/19/2019) record did not contain documentation of immunization.”

Rule 8VAC20-800-90-A.

Based on record review, the provider did not obtain documentation of additional immunizations once every six months for children under the age of two years.

“Evidence: 1. Child #3?s (age: 1 year) most recent immunization record was dated 12/06/2021. 2. Child #4?s (age: 20 months) most recent immunization record was dated 03/05/2021.”

Rule 8VAC20-800-90-C.

8VAC20-770-40-D-1-c

“Based on record review, a staff member did not obtain a Central Registry Search prior to the expiration date. Evidence: The expiration date for Staff A’s Central Registry search was 2/08/2021.”

Rule 8VAC20-770-40-D-1-c.